The aim of this study is to investigate the remission rate of rheumatoid arthritis (RA) in China and identify its potential determinants. A multi-center cross-sectional study was conducted from July 2009 to January 2012. Data were collected by face-to-face interviews of the rheumatology outpatients in 28 tertiary hospitals in China. The remission rates were calculated in 486 RA patients according to different definitions of remission: the Disease Activity Score in 28 joints (DAS28), the Simplified Disease Activity Index (SDAI), the Clinical Disease Activity Index (CDAI), and the American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) Boolean definition. Potential determinants of RA remission were assessed by univariate and multivariate analyses. The remission rates of RA from this multi-center cohort were 8.6 % (DAS28), 8.4 % (SDAI), 8.2 % (CDAI), and 6.8 % (Boolean), respectively. Favorable factors associated with remission were: low Health Assessment Questionnaire (HAQ) score, absence of rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP), and treatment of methotrexate (MTX) and hydroxychloroquine (HCQ). Younger age was also predictive for the DAS28 and the Boolean remission. Multivariate analyses revealed a low HAQ score, the absence of anti-CCP, and the treatment with HCQ as independent determinants of remission. The clinical remission rate of RA patients was low in China. A low HAQ score, the absence of anti-CCP, and HCQ were significant independent determinants for RA remission.
基金:
National Key Technology RD Program [2008BAI59B01]; National Medical Science and Technique Foundation during the 12th Five-Year Plan Period [2012ZX09104103]
第一作者单位:[1]Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, Beijing 100044, Peoples R China
通讯作者:
通讯机构:[1]Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, Beijing 100044, Peoples R China[*1]Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, 11 Xizhimen South St, Beijing 100044, Peoples R China
推荐引用方式(GB/T 7714):
Wang Guan-Ying,Zhang Sa-Li,Wang Xiu-Ru,et al.Remission of rheumatoid arthritis and potential determinants: a national multi-center cross-sectional survey[J].CLINICAL RHEUMATOLOGY.2015,34(2):221-230.doi:10.1007/s10067-014-2828-3.
APA:
Wang, Guan-Ying,Zhang, Sa-Li,Wang, Xiu-Ru,Feng, Min,Li, Chun...&Li, Zhan-Guo.(2015).Remission of rheumatoid arthritis and potential determinants: a national multi-center cross-sectional survey.CLINICAL RHEUMATOLOGY,34,(2)
MLA:
Wang, Guan-Ying,et al."Remission of rheumatoid arthritis and potential determinants: a national multi-center cross-sectional survey".CLINICAL RHEUMATOLOGY 34..2(2015):221-230